- Mount Sinai Health System (New York, NY)
- **Job Description** The Credentials Coordinator -Manage Care is responsible for coordinating the Mount Sinai School of Medicine Faculty Practice Associates ... credentialing, re-credentialing and enrollment process in accordance with the Health Care Plans Delegated Credentialing Agreements and the FPA policies & procedures,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …utilization and case management process. + 3 years' experience working in a managed care environment supporting utilization management and case review with ... in reviews. + Advises team nurses on appropriateness of care and services through the care continuum...state regulations. + Supports training of the nurses and coordinator to improve their knowledge, independence, and understanding. +… more